| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 6.37% |
| IMA, INC.3 Filed as: IMA INC. | PO BOX 2992 WICHITA, KS 67201 | SURENCY LIFE AND HEALTH | $2K | — | $2K | 10.00% |
| RACHEL SHAEFER3 Filed as: RACHEL M SHAEFER | 529 PARKWOOD DRIVE ROSE HILL, KS 67133 | AFLAC | $972 | — | $972 | 6.57% |
| KEVIN D INGWERSON3 | 208 SOUTH PUTTER DRIVE ANDOVER, KS 67002 | AFLAC | $297 | $36 | $333 | 2.25% |
| ASHLEY MORGAN KERR3 | 12801 EAST BUCKTHORN ROAD DERBY, KS 67037 | AFLAC | $234 | — | $234 | 1.58% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | AFLAC | $155 | — | $155 | 1.05% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 SOUTH MAIN STREET SUITE 105 WICHITA, KS 67202 | AFLAC | $139 | $7 | $146 | 0.99% |
| JOHN E WETIG3 | 103 SOUTH ROUPP STREET HESSTON, KS 67062 | AFLAC | $140 | — | $140 | 0.95% |
| JULIAN DUARTE3 | 412 NORTH MYRTLE STREET EUREKA, KS 67045 | AFLAC | $117 | — | $117 | 0.79% |
| TERESA BURNETT3 | 1112 EAST JAMES STREET DERBY, KS 67037 | AFLAC | $67 | — | $67 | 0.45% |
| MARK ALAN BRYANT3 | 7920 WEST KELLOGG DRIVE SUITE 105 WICHITA, KS 67209 | AFLAC | $55 | — | $55 | 0.37% |
| GAIL A COE3 | 4600 FARMSTEAD COURT BEL AIRE, KS 67220 | AFLAC | $40 | — | $40 | 0.27% |
| NICOLE E ROONEY3 | 515 SOUTH MAIN STREET SUITE 105 WICHITA, KS 67202 | AFLAC | $36 | — | $36 | 0.24% |
| MARC LUTHER HOMAN3 | 11828 WEST CENTRAL AVENUE SUITE 100 WICHITA, KS 67212 | AFLAC | $34 | — | $34 | 0.23% |
| MATTHEW GANT3 | 2501 WEST 18TH AVENUE SUITE A EMPORIA, KS 66801 | AFLAC | $19 | $7 | $26 | 0.18% |
| SPENCER H STELLJES3 | 338 NORTH QUENTIN STREET WICHITA, KS 67208 | AFLAC | $24 | — | $24 | 0.16% |
| BRIAN M LEITZEL3 | 4201 SPRING DRIVE CHENEY, KS 67025 | AFLAC | $19 | — | $19 | 0.13% |
| WILLINGHAM INC3 Filed as: WILLINGHAM, INC. | 35354 MISSION BELLEVIEW ROAD LOUISBURG, KS 66053 | AFLAC | $15 | — | $15 | 0.10% |
| NATHAN L HARRISON3 | 5301 EAST VISTA RICA STREET PARADISE VALLEY, AZ 85253 | AFLAC | $9 | — | $9 | 0.06% |
| LYNN E MOLLER3 | 4527 ENGLISH HOLLY DRIVE FAIRFAX, VA 22030 | AFLAC | $9 | — | $9 | 0.06% |
| PATRICIA ZOELLER3 | 1825 NORTH COUNTRY CLUB LANE KINGMAN, KS 67068 | AFLAC | $8 | — | $8 | 0.05% |
| SAIDA K SOSA3 | 9911 EAST 21ST STREET NORTH APT. 1701 WICHITA, KS 67206 | AFLAC | $7 | — | $7 | 0.05% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 245 NORTH WACO STREET SUITE 412 WICHITA, KS 67202 | AFLAC | $7 | — | $7 | 0.05% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | AFLAC | $7 | — | $7 | 0.05% |
| SCOTT D SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $4 | — | $4 | 0.03% |
| ELIZABETH RIOS3 | PO BOX 75101 WICHITA, KS 67275 | AFLAC | $2 | — | $2 | 0.01% |
| TERRY S DECKER3 | 123401 EW 6 ROAD TURPIN, OK 73950 | AFLAC | $2 | — | $2 | 0.01% |
| JONI S WOBORNY BUNKER3 | 4601 LICHEN LANE MANHATTAN, KS 66503 | AFLAC | $1 | — | $1 | 0.01% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DRIVE LAWRENCE, KS 66049 | AFLAC | $1 | — | $1 | 0.01% |
| IMA, INC.3 | 11350 SWITZER ROAD #200 OVERLAND PARK, KS 66210 | ADVANCE INSURANCE COMPANY OF KANSAS | $1K | — | $1K | 12.00% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 162 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 123 | $63K |
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 89 | $20K |
| Life insurance | ADVANCE INSURANCE COMPANY OF KANSAS | 161 | $10K |
| Short-term disability | AFLAC | 21 | $15K |
| Other(3 contracts, 3 carriers) | AFLAC | 199 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 199 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.